Shoot, ready, aim: Pneumonia care quality and costs in a community hospital

American Journal of Medical Quality

Volumn 18, Issue 5, 2003, Pages 214-219

  Milo, Lori A ^a   Smucker, William ^a   Logue, Everett ^a   Orosz, James ^a   Grimes, Michael G ^a   Bonyo, Bonyo ^a   Dulle, David ^a   McNaughton, Marc ^a  

^a SUMMA HEALTH SYSTEM   (United States)

Author keywords

Antibiotics; Clinical protocols; Community acquired pneumonia; Outcome assessment; Practice guidelines

Indexed keywords

ANTIBIOTIC THERAPY; ARTICLE; BLOOD CULTURE; COMMUNICABLE DISEASE; COMMUNITY HOSPITAL; CONTROLLED STUDY; COST OF ILLNESS; DECISION MAKING; DISEASE SEVERITY; FEMALE; FOLLOW UP; HEALTH CARE COST; HEALTH CARE QUALITY; HOSPITAL DISCHARGE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL STAFF; PNEUMONIA; SPUTUM CYTODIAGNOSIS; SYMPTOM;

EID: 0141606099     PISSN: 10628606     EISSN: None     Source Type: Journal    
DOI: 10.1177/106286060301800506     Document Type: Article

References (29)

1. Fine MJ, Pratt HM, Obrosky DS, et al. Relation between length of hospital stay and costs of care for patients with community-acquired pneumonia. Am J Med. 2000;109:378-385.
2. Halm EA, Fine MJ, Marrie TJ, et al. Time to clinical stability in patients hospitalized with community-acquired pneumonia. Implications for practice guidelines. JAMA. 1998;279:1452-1457.
3. Neiderman MS, McCombs JS, Unger AN, et al. The cost of treating community-acquired pneumonia. Clin Ther. 1998;20:820-837.
4. Mandell LA, Marie TJ, Grossman RF, et al. Canadian guidelines for the initial management of community-acquired pneumonia: an evidence-based update by the Canadian Infectious Disease Society and the Canadian Thoracic Society. Clin Infect Dis. 2000;31:383-421.
5. Bartlett JG, Dowell SF, Mandell LA, et al. Practice guidelines for the management of community-acquired pneumonia in adults. Guidelines from the Infectious Diseases Society of America. Clin Infect Dis. 2000;31:347-382.
6. ERS Task Force Report. Guidelines for management of adult community-acquired lower respiratory tract infections. European Respiratory Society. Eur Respir J. 1998;11:986-991.
7. Campbell GD Jr. Commentary on the 1993 American thoracic society guidelines for the treatment of community-acquired pneumonia. Chest. 1999;115:14S-18S.
8. The British Thoracic Society. Guidelines for the management of community-acquired pneumonia in adults admitted to hospital [review]. Br J Hosp Med. 1993;49:346-350.
9. Bartlett JG, Breiman RF, Mandell LA, et al. Community-acquired pneumonia in adults: guidelines for management. The Infectious Disease Society of America. Clin Infect Dis. 1998;26:811-838.
10. Bonyo B, Dulle D, Grimes M, et al. Process and outcomes of care for community acquired pneumonia: evidence, practice guidelines and outcomes at a community-based teaching hospital. Papers presented at: 12th Annual Family Practice Resident Scholarship Day; May 23, 2001; Northeastern Ohio Universities College of Medicine, Rootstown, Ohio.
11. Dean NC, Silver MP, Bateman KA, et al. Decreased mortality after implementation of a treatment guideline for community-acquired pneumonia. Am J Med. 2001; 110:451-457.
12. Marrie TJ, Lau CY, Wheeler SL, et al. A controlled trial of a critical pathway for treatment of community-acquired pneumonia. JAMA. 2000;283:749-755.
13. Niederman MS, Bass JB, Cambpell GD, et al. for the American Thoracic Society. Medical Section of the American Lung Association. Guidelines for the initial management of adults with community-acquired pneumonia: diagnosis, assessment of severity, and initial antimicrobial therapy. Am Rev Respir Dis. 1993;148:1418-1426.
14. Fine AM, Niederman MS. Guidelines for the initial management of community-acquired pneumonia: savory recipe or cookbook for disaster? Am J Respir Crit Care Med. 1995;152:1149-1153.
15. Rhew DC. Overview or recent guidelines for the management of community-acquired pneumonia. JCOM. 2002;9:381-389.
16. Bernstein JM. Treatment of community-acquired pneumonia - IDSA guidelines. Chest. 1999;115:9S-13S.
17. Halm EA, Atlas SJ, Borowsky LH, et al. Understanding physician adherence with a pneumonia practice guideline. Arch Intern Med. 2000;160:98-104.
18. US Department of Health and Human Services, Health Care Financing Administration. Health Care Quality Improvement Program: Medicare Priorities. Baltimore, Md: US Department of Health and Human Services; 2000. HCFA Publication 10156.
19. Metersky ML, Galusha DH, Meehan TP. Improving the care of patients with community-acquired pneumonia. Jt Comm J Qual Improv. 1999;25:182-190.
20. Fine MJ, Auble TE, Yealy DM, et al. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med. 1997;336:243-250.
21. Sanyal S, Smith PR, Saha AC, et al. Initial microbiologic studies did not affect outcome in adults hospitalized with community-acquired pneumonia. Am J Respir Crit Care Med. 1999;160:346-348.
22. Fine MJ, Stone RA, Singer DE, et al. Processes and outcomes of care for patients with community-acquired pneumonia. Arch Intern Med. 1999;159:970-980.
23. Ramirez JA, Vargas S, Ritter GW, et al. Early switch from intravenous to oral antibiotics and early hospital discharge. Arch Intern Med. 1999;159:2449-2454.
24. Metersky ML, Tate JP, Fine MJ, et al. Temporal trends in outcomes of older patients with pneumonia. Arch Intern Med. 2000;160:3385-3391.
25. McCormick D, Fine MJ, Coley CM, et al. Variation in length of hospital stay in patients with community-acquired pneumonia: are shorter stays associated with worse medical outcomes? Am J Med. 1999;107:5-12.
26. Dedier J, Singer DE, Chang Y, et al. Processes of care, illness severity, and outcomes in the management of community-acquired pneumonia at academic hospitals. Arch Intern Med. 2001;161:2099-2104.
27. Waterer GW, Wunderink RG. The influence of the severity of community-acquired pneumonia on the usefulness of blood cultures. Respir Med. 2001;95:78-82.
28. Englert J, Davis KM, Koch KE. Using clinical practice analysis to improve care. Jt Comm J Qual Improv. 2001;27:291-301.
29. Casanova JE. Tools for the Task: The Role of Clinical Guidelines. Tampa, Fl: American College of Physician Executives. 1997:120-123.